nurs 3150 ATI practice test b
A nurse is discussing the home care of a client who has advanced
Alzheimer's disease with the client's partner, who is planning to go out of
town for several days. Which of the following resources should the nurse
recommend to the caregiver?
Respite care
MY A N S W ER
Respite care programs allow the client to stay in a nursing facility for a set
number of days, allowing the caregivers to go on vacation or have some time
to themselves.
Partial hospitalization
Partial hospitalization provides services for several hours during the day, but
they are not designed to offer 24-hr care. A client who has advanced
Alzheimer's disease is unable to safely remain at home unattended.
Adult day care program
Question: 59 of 60
A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant
conditioning. Which of the following client behaviors indicates effectiveness of the therapy?
Refrains from manipulating others to earn dining room privileges
MY ANSWER
The goal of operant conditioning is to provide positive reinforcement in return for a desired behavior. Refraining from manipulative
behavior is a desired response.
A nurse in a community health center is counseling a family of two parents
and two children. Which of the following statements by a family member
indicates manipulative behavior?
"If you do my homework for me, I won't bother you for the rest of
the day."
MY A N S W ER
,nurs 3150 ATI practice test b
This is an example of manipulative behavior. It is an example of manipulation
when the family member uses a behavior to get what they desire rather than
directly asking for what they want.
A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear voices telling me what to do." Which
of the following actions should the nurse take?
Ask the client what the voices are saying.
It is important for the nurse to ask the client directly about the hallucinations to determine if the client or others are at risk for injury.
A nurse is caring for a client who has schizophrenia and is experiencing
psychosis. The nurse should identify that which of the following findings
indicates a potential psychiatric emergency?
The client reports command hallucinations.
MY A N S W ER
The nurse should identify that command hallucinations can indicate a
potential psychiatric emergency for a client who has schizophrenia.
Command hallucinations can direct the client to harm themselves or others.
A nurse is teaching a client who has a depressive disorder about fluoxetine.
Which of the following information should the nurse include in the teaching?
"You might experience difficulties with sexual functioning while
taking this medication."
MY A N S W ER
Fluoxetine is a selective serotonin reuptake inhibitor that can cause sexual
dysfunction such as anorgasmia and impotence. The nurse should instruct
the client to notify the provider if sexual dysfunction occurs.
FLAG
A nurse is documenting admission assessment findings for a client who has major depressive disorder. The nurse should identify
which of the following findings as clinical manifestations? (Select all that apply.)
Feelings of hopelessness is correct. The nurse should document feelings of hopelessness as a clinical manifestation of major
depressive disorder.
Pressured speech is incorrect. This clinical manifestation is associated with clients who are experiencing mania, rather than major
depressive disorder.
Grandiosity is incorrect. This clinical manifestation is associated with clients who are experiencing mania, rather than major
depressive disorder.
Anhedonia is correct. The nurse should document the inability to experience pleasure as a clinical manifestation of major depressive
disorder.
,nurs 3150 ATI practice test b
Flat facial expression is correct. The nurse should document a flat facial expression as a clinical manifestation of major depressive
disorder.
A nurse is reviewing the electronic medical record of a client who has
schizophrenia and is taking clozapine. Which of the following findings is the
priority for the nurse to notify the provider?
The client reports an inability to breathe easily.
Serious adverse effects, such as heart failure, myocarditis, and pulmonary
embolism are associated with clozapine. When using the greatest risk
framework, the nurse should identify that the greatest risk to the client is
dyspnea, which is a manifestation of respiratory or cardiac alterations, and
should be reported to the provider.
A nurse is communicating with a client in an inpatient mental health facility.
Which of the following actions by the nurse demonstrates the use of active
listening?
Attention to body language
MY A N S W ER
Use of active listening involves identifying verbal and nonverbal
communication by the client, which includes attention to body language.
A nurse is planning care for a client who is experiencing acute mania. Which
of the following interventions should the nurse include in the plan to promote
sleep?
Encourage frequent rest periods throughout the day.
A client who is experiencing acute mania is at risk for sleep disturbances and
might go for extended periods of time without sleep. Encouraging periods of
rest throughout the day can limit the risk of exhaustion.
A nurse is caring for a client who is experiencing a situational crisis. Which of
the following findings should the nurse expect?
The client recently lost a grandparent in a motor vehicle crash.
The client experiences a situational crisis when an unexpected event occurs.
A nurse is assessing a client who has borderline personality disorder. Which
of the following findings should the nurse expect?
Emotional lability
, nurs 3150 ATI practice test b
MY A N S W ER
Emotional lability is the rapid transition from one emotion to another and is a
primary feature of borderline personality disorder. Clients who have
borderline personality disorder react to situations with emotional responses
that are out of proportion to the circumstances.
A nurse in the emergency department is caring for a client who has alcohol
toxicity and is unresponsive. Which of the following interventions should the
nurse take?
Gather supplies for endotracheal intubation.
The nurse should gather supplies for endotracheal intubation because an
expected finding of an unresponsive client who has alcohol toxicity is
respiratory depression.
A nurse is admitting a client who has schizophrenia to an acute care setting.
When the nurse questions the client regarding their admission, the client
states, "I'm red, in the head, and I'm going to bed!" The nurse should
document the client's speech pattern as which of the following?
Clang association
The nurse should document that the client's speech uses clang associations,
which often rhyme or contain a string of words that can have a similar sound.
During morning rounds, a nurse finds a client who has schizophrenia
trembling and tearful in their bed. The client reports that a bomb was placed
in their room by a family member during visiting hours. Which of the
following actions should the nurse take?
Assess the client for evidence of a perceptual disturbance.
The nurse should assess the situation to determine if the client is
hallucinating or misperceiving external stimuli, also known as experiencing
illusions.
A nurse is assessing a school-age child who has conduct disorder. Which of
the following characteristics should the nurse expect the child to
demonstrate?
Aggression toward animals
A nurse is discussing the home care of a client who has advanced
Alzheimer's disease with the client's partner, who is planning to go out of
town for several days. Which of the following resources should the nurse
recommend to the caregiver?
Respite care
MY A N S W ER
Respite care programs allow the client to stay in a nursing facility for a set
number of days, allowing the caregivers to go on vacation or have some time
to themselves.
Partial hospitalization
Partial hospitalization provides services for several hours during the day, but
they are not designed to offer 24-hr care. A client who has advanced
Alzheimer's disease is unable to safely remain at home unattended.
Adult day care program
Question: 59 of 60
A nurse is caring for a client who has antisocial personality disorder and is receiving behavioral therapy through operant
conditioning. Which of the following client behaviors indicates effectiveness of the therapy?
Refrains from manipulating others to earn dining room privileges
MY ANSWER
The goal of operant conditioning is to provide positive reinforcement in return for a desired behavior. Refraining from manipulative
behavior is a desired response.
A nurse in a community health center is counseling a family of two parents
and two children. Which of the following statements by a family member
indicates manipulative behavior?
"If you do my homework for me, I won't bother you for the rest of
the day."
MY A N S W ER
,nurs 3150 ATI practice test b
This is an example of manipulative behavior. It is an example of manipulation
when the family member uses a behavior to get what they desire rather than
directly asking for what they want.
A nurse on a mental health unit is admitting a client who is anxious and tells the nurse, "I hear voices telling me what to do." Which
of the following actions should the nurse take?
Ask the client what the voices are saying.
It is important for the nurse to ask the client directly about the hallucinations to determine if the client or others are at risk for injury.
A nurse is caring for a client who has schizophrenia and is experiencing
psychosis. The nurse should identify that which of the following findings
indicates a potential psychiatric emergency?
The client reports command hallucinations.
MY A N S W ER
The nurse should identify that command hallucinations can indicate a
potential psychiatric emergency for a client who has schizophrenia.
Command hallucinations can direct the client to harm themselves or others.
A nurse is teaching a client who has a depressive disorder about fluoxetine.
Which of the following information should the nurse include in the teaching?
"You might experience difficulties with sexual functioning while
taking this medication."
MY A N S W ER
Fluoxetine is a selective serotonin reuptake inhibitor that can cause sexual
dysfunction such as anorgasmia and impotence. The nurse should instruct
the client to notify the provider if sexual dysfunction occurs.
FLAG
A nurse is documenting admission assessment findings for a client who has major depressive disorder. The nurse should identify
which of the following findings as clinical manifestations? (Select all that apply.)
Feelings of hopelessness is correct. The nurse should document feelings of hopelessness as a clinical manifestation of major
depressive disorder.
Pressured speech is incorrect. This clinical manifestation is associated with clients who are experiencing mania, rather than major
depressive disorder.
Grandiosity is incorrect. This clinical manifestation is associated with clients who are experiencing mania, rather than major
depressive disorder.
Anhedonia is correct. The nurse should document the inability to experience pleasure as a clinical manifestation of major depressive
disorder.
,nurs 3150 ATI practice test b
Flat facial expression is correct. The nurse should document a flat facial expression as a clinical manifestation of major depressive
disorder.
A nurse is reviewing the electronic medical record of a client who has
schizophrenia and is taking clozapine. Which of the following findings is the
priority for the nurse to notify the provider?
The client reports an inability to breathe easily.
Serious adverse effects, such as heart failure, myocarditis, and pulmonary
embolism are associated with clozapine. When using the greatest risk
framework, the nurse should identify that the greatest risk to the client is
dyspnea, which is a manifestation of respiratory or cardiac alterations, and
should be reported to the provider.
A nurse is communicating with a client in an inpatient mental health facility.
Which of the following actions by the nurse demonstrates the use of active
listening?
Attention to body language
MY A N S W ER
Use of active listening involves identifying verbal and nonverbal
communication by the client, which includes attention to body language.
A nurse is planning care for a client who is experiencing acute mania. Which
of the following interventions should the nurse include in the plan to promote
sleep?
Encourage frequent rest periods throughout the day.
A client who is experiencing acute mania is at risk for sleep disturbances and
might go for extended periods of time without sleep. Encouraging periods of
rest throughout the day can limit the risk of exhaustion.
A nurse is caring for a client who is experiencing a situational crisis. Which of
the following findings should the nurse expect?
The client recently lost a grandparent in a motor vehicle crash.
The client experiences a situational crisis when an unexpected event occurs.
A nurse is assessing a client who has borderline personality disorder. Which
of the following findings should the nurse expect?
Emotional lability
, nurs 3150 ATI practice test b
MY A N S W ER
Emotional lability is the rapid transition from one emotion to another and is a
primary feature of borderline personality disorder. Clients who have
borderline personality disorder react to situations with emotional responses
that are out of proportion to the circumstances.
A nurse in the emergency department is caring for a client who has alcohol
toxicity and is unresponsive. Which of the following interventions should the
nurse take?
Gather supplies for endotracheal intubation.
The nurse should gather supplies for endotracheal intubation because an
expected finding of an unresponsive client who has alcohol toxicity is
respiratory depression.
A nurse is admitting a client who has schizophrenia to an acute care setting.
When the nurse questions the client regarding their admission, the client
states, "I'm red, in the head, and I'm going to bed!" The nurse should
document the client's speech pattern as which of the following?
Clang association
The nurse should document that the client's speech uses clang associations,
which often rhyme or contain a string of words that can have a similar sound.
During morning rounds, a nurse finds a client who has schizophrenia
trembling and tearful in their bed. The client reports that a bomb was placed
in their room by a family member during visiting hours. Which of the
following actions should the nurse take?
Assess the client for evidence of a perceptual disturbance.
The nurse should assess the situation to determine if the client is
hallucinating or misperceiving external stimuli, also known as experiencing
illusions.
A nurse is assessing a school-age child who has conduct disorder. Which of
the following characteristics should the nurse expect the child to
demonstrate?
Aggression toward animals
